Sundaramoorthy, Kavetha
Sundaramoorthy, Kavetha is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Sundaramoorthy, Kavetha can be contacted via phone (860) 647-4746.Contact Information
Primary practice address
71 Haynes St
Manchester CT 06040-4131
Phone: (860) 647-4746
Fax: (860) 647-6809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 8600 | Connecticut |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 050243 | Connecticut |
Profile Details
| NPI number | 1447459052 |
|---|---|
| LBN Legal business name | Sundaramoorthy, Kavetha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Feb 23rd, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447459052 | NPPES |
| Connecticut | MEDICAID | 004041885 | |
| Connecticut | MEDICAID | 004025177 |
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